LONOKE, AR- BARNES HEALTHCARE

The Department of Health & Human Services conducted an inspection of the facility. The following  highlighted decencies listed below were found in a public survey.

Honor the resident’s right to a dignified existence, self-determination, communication, and to exercise his or her rights.

Based on observation, record review, and interview, the facility failed to ensure resident’s dependent on staff for activities of daily living (ADLs), were provided assistance to protect and promote the rights and dignity of 2 (Residents #38 and #26) of 2 sampled residents.

Honor the resident’s right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely.

Based on observation, record review, and interview, the facility failed to maintain a safe, functional, sanitary, and homelike environment for the residents to promote dignity and prevent the potential injury or spread of disease.

Ensure each resident receives an accurate assessment.

Based on interview and record review, the facility failed to code the Minimum Data Sets (MDS) accurately for 2 (Residents #14, and #35) to facilitate, plan, and provide necessary care, and to complete a medication self-administration assessment for 1 (Resident #14).

Provide care and assistance to perform activities of daily living for any resident who is unable.

Based on observation, interview, and record review, the facility failed to ensure fingernails and toenails were trimmed for 1 (Resident #35) and chin hairs were removed for (Resident #19) to promote good hygiene and dignity.

Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.

Based on observation, interview, and record review the facility failed to ensure the vent-a-hood in the kitchen was kept free of a buildup of grease, grime and debris which could result in improper functioning and/or fire resulting in serious injury, serious harm, serious impairment, or death. This failed practice resulted in Immediate Jeopardy, which caused or could have caused serious harm, injury, or death to all 51 residents who resided in the facility.

Provide safe and appropriate respiratory care for a resident when needed.

Based on observation, record review, and interview, the facility failed to ensure oxygen was consistently administered at the flow rate ordered by the physician, to minimize the potential for hypoxia or other respiratory complications for 1 (Resident #31) of 1 sampled resident who had orders for oxygen therapy.

Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

Based on observation and interview, the facility failed to ensure medications were not in a residents room and were stored in in a secure location for 1 (Resident #31) of 1 sampled resident and medications were not left unattended on top of the medication cart.

Provide and implement an infection prevention and control program.

Based on observation, record review, and interview, the facility failed to ensure staff changed gloves/washed hands between providing incontinent care and handling of clean items to reduce the potential for infection and failed to ensure dirty gloves and incontinent briefs were stored off of the shower floor to prevent cross-contamination and the potential spread of infection to other residents for 1 (Resident #26) of 1 sampled resident.

Put firmly secured handrails on each side of hallways

Based on observation, the facility failed to ensure handrails were securely attached to the wall to provide support and prevent potential resident injury on 1 (Hall 300) of 3 halls.